52 research outputs found

    PERBANDINGAN COLD PRESSOR TEST MAHASISWA DENGAN DAN TANPA RIWAYAT GENETIK HIPERTENSI

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    ABSTRAKHipertensi terkait erat dengan peningkatan aktivitas sistem saraf simpatis. Aktivitas simpatis dapat diujidengan cold pressor test (CPT). Penelitian ini bertujuan untuk mengetahui perbandingan CPT mahasiswapria dengan riwayat genetik hipertensi (RGH (+)) dan tanpa riwayat genetik hipertensi (RGH (-)). Desainpenelitian ini adalah uji klinis acak. Selama CPT, tangan hingga sebatas pergelangan tangan dimasukkan dalam air es (4-5C ) selama 1 menit. Empat puluh dua mahasiswa pria (18-21 tahun) dibagi dalam dua kelompok, yaitu kelompok RGH (+) dan RGH (-). Tekanan darah (TD) dan denyut jantung (DJ) diukur sebelum, 30 detik setelah dan lima menit setelah CPT. Data dianalisis dengan uji t tidak berpasangan dan uji t berpasangan. Hasil penelitian menunjukkan tidak terdapat perbedaan tekanan darah sistolik (TDS) dan tekanan darah diastolik (TDD) yang bermakna sebelum CPT antara kedua grup. Tiga puluh detik setelah CPT, terdapat perbedaan TDS dan TDD yang bermakna antara kelompok RGH (+) yang dibandingkan dengan kelompok RGH (-). Lima menit setelah CPT, tidak terdapat perbedaan TDS yang bermakna, namun terdapat perbedaan TDD yang bermakna lima menit setelah CPT antara kedua grup . Di samping itu, tidak terdapat perbedaan DJ yang bermakna baik sebelum, 30 detik setelah dan lima menit setelah CPT antara kedua grup. Pemulihan TDS dan TDD terjadi dalam waktu lima menit. Keadaan ini menunjukkan bahwa CPT dapat digunakan sebagai metode deteksi dini hipertensi dengan mengukur TD.Kata kunci: cold pressor test, hipertensi, tekanan darah.ABSTRACTHypertension has been reported to be generally associated with sympathetic overactivity. Sympathetic overactivity can be tested by cold pressor test (CPT). The aim of study is to find out comparation of CPT between students with hypertensive parents (HP (+)) and without hypertensive parents (HP (-)). Methodology of study was randomized controlled trial. While CPT, hand immersion up to the wrist in the mixture of ice and water (4-5C) for 1 minute. Forty-two male students (18-21 years old) were divided into two groups, as group HP (+) and HP (-). Blood pressure (BP) and heart rate (HR) were measured before, 30 seconds and five minutes after CPT. Data was analized by t independent test and t paired test. Result of research indicate that there was no significant difference in resting systolic blood pressure (SBP) and diastolic blood pressure (DBP) in both groups before CPT. Thirty seconds after CPT, there was significant difference in SBP and DBP in group HP (+) as compared to group HP (-). Five minutes after CPT, there was no significant difference in SBP, but there was significant difference in DBP between two groups. Besides, there were no significant difference in HR before, 30 seconds and five minutes after CP between two groups. Thereafter, SBP and DBP recovered back to baseline at five minutes after CPT. This finding may lead that CPT can be used as predictor of future development of hypertension by measuring BP.Keywords : cold pressor test, hypertension, blood pressure

    Interaksi Sosial Pedagang Kaki Lima di Pasar Puan Maimun Kabupaten Karimun Kepulauan Riau

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    This thesis submitted in order to quality a sociology bachelors degree with the title “ Social Interaction Street Vendors In Puan Maimun Market Karimun Regency, Riau Archipelago. To findout how the social interaction that occur betwee the street vendors, factor that affect the creation of social interaction that take place and interwoven between street vendors in Puan Maimun market, Karimun Regency, the author conducted data collection using observation techniques and in depth interviews with respondents. As for how sampling or respondents is done by simple random sampling techniques (in a random way) that has came chance and opportunity to be selected as a samples, the samples 15 street vendors respondents specified of the total population 129 merchant. The teory used in this reasearch is the theory of social interaction and the structural-functional theory. The method used is qualitative descriptive. Result of research conduted in general, the author say that the high familiar relationships that occur between them. Social interactions that occur make a trader to another may affect each other. The social interaction resulted in relationships that is both negative and positive. Tolarance among street vendors Puan Maimun Market that made them closer. A sense of togetherness between cadger that make harmony among them better. The results show that social interaction that exist between good cadger

    Corak Penafsiran K.H. Maimoen Zubair Dalam Kitab Safinatu Kalla Saya'lamun Fi Tafsir Syaikhina Maimun

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    This research is trying to describe the interpretation style of K.H. Maimoen Zubair which is contained in the book of tafseer Safinatu Kalla Saya'lamun fi Tafsir Syaikhina Maimun. Each mufassir has his own tendencies in interpreting the Quran. This tendency depends on the discipline of knowledge mastered, scientific research, experience, social conditions, politics, and so on. So the background of scholars, politicians, and expertise in history that K.H. Maimoen Zubair certainly also influenced his interpretations in the book Safinatu Kalla Saya'lamun fi Tafsir Syaikhina Maimun. One of the reasons behind this research is a style of interpretation that is not necessarily imagined by other interpreters. Then the book of tafseer Safinatu Kalla Saya'lamun fi Tafsir Syaikhina Maimun by Muhammad Ismail Al-Ascholy was chosen as the main source because it was felt to be important for preserving the tafseer of the Quran from Indonesian ulama. Therefore, the author wishes to examine the interpretation style of K.H. Maimoen Zubair in the book Safinatu Kalla Saya'lamu fi Tafsir Syaikhina Maimun. This type of research is literature with a qualitative descriptive analysis. Meanwhile, the analysis method in this research uses descriptive analysis carried out using content analysis. With these methods and approaches, various interpretive patterns were found that colored the interpretation of K.H. Maimoen Zubair. The conclusions obtained from this research are the interpretation of K.H. Maimoen Zubair is intensely characterized by ijtimā'i. However, there are also many styles of ijtimā'i that are combined with other styles of interpretation. In other words, K.H Maimoen Zubair will place special emphasis on the interpretation of certain verses such as legal verses, Sufism verses, scientific verses, ijtimā'i verses with social nuances. Apart from that, many of the interpretations found in this book are interpretations of K.H. Maimoen Zubair relates to verses containing historical values of previous peoples and the people of the Prophet Muhammad, which are then given historical descriptions and adapted to the current social context of society

    Penanganan Infeksi Saluran Kemih

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    Abstrak. Infeksi saluran kemih (ISK) sangat sering  terjadi pada pasien  rawat jalan,  sama halnya  dengan infeksi nosokomial. Didalam  klinik sering dibagi dalam ISK tanpa komplikasi dan !SK  berkomplikasi.   Penyebab !SK tanpa komplikasi  umumnya  Escherichia  coli,  namun  demikian  pada  ISK  berkomplikasi   dapat  juga  disebabkan oleh kuman  Gram-negatif   dan  Gram-positif   dan  sering  menyebabkan     resisten    terhadap   antibiotik.   Falsafah  dari pengobatan  ISK adalah  mengusahakan  pengobatan    yang  cepat  dan   efektif  serta  mencegah  terjadinya  resistensi terhadap antibiotik.  (JKS 2008; 1: 61-66)   Kata kunci :   lnfeksi saluran kemih (ISK), pengobatan antibiotik,  resisten antibiotik   Abstract.  Bacterial  urinary  tract  infections  (UTis)  are  frequent  infections  in the  outpatient  as  well  as  in the nosocomial setting. The stratification into uncomplicated and complicated   UTis  has  proven to be clinically useful. In uncomplicated  UTis  Escherichia  coli  is the  leading  organism,   whereas  in complicated    UTis  the bacterial spectrum is much broader including Gram-negative and Gram-positive  and often multiresistant  organism.The  aim of  treatment    are  rapid  and  effective  response  to  the  therapy  and  prevention  of  emergence  of  resistance to antimicrobial chemotherapy in the microbial  environment. (JKS 2008;  /: 61-66)   Keywords :  UT!s,  antibiotic  treatment,  antimicrobial chemotherapy resistanc

    PENCEGAHAN DAN PENATALAKSANAAN NEFROPATI RADIOKONTRAS

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    Abstrak. Gagal ginjal karena pemberian kontras media  merupakan penyebab ketiga dari gagal ginjal yang didapat di rumah sakit. Penderita dengan fungsi ginjal normal jarang mengalami nefropati karena kontras. Pada penderita  dengan serum kreatinin lebih dari 1.5 mg/dl (132 µmol/l), pemberian  iodine harus hati-hati terhadap nefropati karena dari laporan pemberian kontras iodine mempunyai risiko sangat tinggi untuk terjadi nefropati kontras. Manifestasi dari nefro toksik yang berat bisa dimulai dari non oliguri dengan penurunan laju filtrasi glomerulus sampai dengan gangguan ginjal akut yang memerlukan dialisis. Faktor penyebab utama terjadinya  gangguan ginjal akut adalah pre-existing insufisiensi ginjal dan diabetes. Faktor risiko lain adalah penyakit kardiovaskuler, pemakaian diuretik, urikosuria, usia lanjut, multiple myoloma yang mengalami dehidrasi. Kontras media ionik dan non ionik keduanya mempunyai efek nefro toksik meskipun kontras non ionik efek nefro toksiknya lebih rendah dari kontras ionik. Rehidrasi adalah cara utama untuk pencegahan nefropati kontras, pencegahan lainnya dapat menggunakan acetyl cysteine dan anti oksidan. Abstract. Renal failure associated with contrast administration has been reported  as the third most common cause of in-hospital renal failure. Patient with normal renal function rarely develop contrast-induced nephropathy. In patients with serum creatinine levels higher than 1.5 mg/dl (132 µmol/l), iodinated contras should be used with caution because the risk for contrast-induced nephropathy renal failure is increased. Nephrotoxicity ranges in severity from nonoliguric transient fall in glomerular  filtration rate to severe renal failure requiring dialysis. The major risk factor for developing acute kidney injury is the combination of pre-existing renal insufficiency and diabetes. Other risk factors include cardio-vascular disease, the use diuretic, advanced age, multiple myeloma in dehydrate patients, hypertension, uricosuria, and high dose of contrast. Both ionic  and nonionic contrast media can induce nephrotoxicity although nonionic contrast is significantly less nephrotoxic. Hydration is the mainstay of prevention, acetylcysteine, a thiol-containing antioxidant given in conjunction with hydration, has not proved consistently to be protective

    Analisis Penanggulangan Banjir Dan Kesiapsiagaan Dalam Mitigasi Banjir Kampung Baru Kecamatan Medan Maimun

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    Flooding is a problem that still requires special attention from a number of parties, including the community and the government. Flooding is not a light matter. Flooding can occur due to rising water levels due to above-average rainfall, temperature changes, levees or dams bursting, or obstruction of water flow elsewhere. The lack of community management and preparedness for disasters is one of the causes of the high impact of post-disaster damage or loss, so disaster mitigation is needed as an effort to reduce disaster risk. The research aims to analyze public knowledge about flood mitigation and preparedness. This study used qualitative research methods with the sampling technique used was simple random sampling. It was found that among several questions in the interview that the author asked about flood management knowledge and preparedness in flood disaster mitigation, all informants responded and acted very well. From the research conducted, all informants expect attention from the government to make improvements to the drainage system again and make new drainage. And the author hopes that the arrangement of residential areas on the banks of the river will be carried out to overcome floods that often hit the Kampung Baru area, Medan Maimun District.

    Association between caregiver burden in family and hemodialysis compliance of chronic kidney disease patients in Aceh, Indonesia

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    Patient compliance toward undergoing treatment determines its success rate. Unfortunately, the compliance among hemodialysis patients is concerning. Supports from family has been suggested influence the patient compliance, especially from a family member who acts as a caregiver. The aim of this study was to determine the association between the level of caregiver burden and compliance in hemodialysis patients. A cross-sectional study was conducted at Dialysis Installation at Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. The study sample was family members who accompanied hemodialysis patients. The minimal number of patients was determined of which 67 respondents were required and therefore recruited. Caregiver burden was collected using direct interview using Caregiver Burden Assessment questionnaire. The results revealed that twenty-four respondents (35.8%) had moderate caregiver burden, while there were only nine respondents (13.4%) had very low caregiver burden. The majority of the hemodialysis patients were non-compliant (n=38, 56.7%). A Chi-squared test indicated a significant association between the status of caregiver burden and the patient compliance to hemodialysis (p=0.011). These findings stress the importance of addressing caregiver burden in ensuring the compliance of patients receiving hemodialysis

    PLANNING FOR THE END OF THE CONSTRUCTION BOOM AND TRANSITION TO A NORMAL ECONOMY IN ACEH AND NIAS

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    There is a very real danger that the transition from the Construction Boom in 2009 to a rapidly growing sustainable normal economy in Aceh will not happen unless both preventive and effective constructive measures are implemented during the coming two years. Instead what could easily happen is a collapse into a deep recession caused by the economy of Aceh being uncompetitive relative to the rest of Indonesia because of its high costs and because in anticipation of this high cost economy situation insufficient investments were made by the private sector in 2006 and the coming two years.
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